Information Collection

Pipeline Cybersecurity Self-Assessment Form

IC 249393 under ICR 202601-1652-004 · OMB 1652-0050.

Documents and Forms

Document Name Document Type
TSA Pipeline Cybersecurity Self-Assessment.pptx Other-Screenshots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pipeline Cybersecurity Self-Assessment Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots			TSA Pipeline Cybersecurity Self-Assessment.pptx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-100	100
Annual IC Time Burden (Hours)	-600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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